Individual provider Active NPI

Teresa M Schultes, PT

  • Physical Therapist
  • Glassboro, NJ
National Provider Identifier
1417026147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00844700 Issued in NJ
Practice address
601 N Main St
Glassboro, NJ 08028-1637
Phone
(856) 881-5800
Fax
(856) 881-3511
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00844700 NJ Primary

Addresses

Primary practice location

601 N Main St
Glassboro, NJ 08028-1637

Mailing address

601 N Main St
PO Box 900
Glassboro, NJ 08028-1637
Phone (856) 881-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00844700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rushmore Physical Therapy, P.a. PastSince Dec 9, 2014 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist PastSince Jul 1, 2020 Accepting new patients
Life Care Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417026147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "address_2": "PO BOX 900",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281637",
            "telephone_number": "856-881-5800",
            "fax_number": "856-881-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281637",
            "telephone_number": "856-881-5800",
            "fax_number": "856-881-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTES",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00844700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.